1. Rotational deformity of a finger caused by malunion of a phalangeal fracture has been corrected by metacarpal osteotomy. 2. Because of the anatomical arrangement of the metacarpo-phalangeal joint this method gives good control of the distal phalanges. 3. Division through the metacarpal rather than through the phalanx avoids adhesions in the flexor and extensor mechanisms and in the joints of the fingers, allows early mobilisation and is an easier procedure.
1. The usefulness of the halo method of traction in orthopaedic surgery, neurosurgery and plastic surgery is not widely appreciated. 2. Modifications of the apparatus are described and the technique of application is detailed. 3. Some advantages of the method are discussed.
The results of using Boplant in a series of thirty-three operations have been very disappointing. Pyrexia of over 100 degrees Fahrenheit followed operation in more than one-third of cases. There was an incidence of at least 36 per cent of failure to achieve the object of operation. Radiographic evidence of failure of incorporation was seen even in a number of clinically successful cases. As a result of this experience and of the experience of other surgeons in Winnipeg the use of Boplant has now largely been abandoned.
